Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2012 Aug;55(2):131-6.
doi: 10.1016/j.ypmed.2012.05.016. Epub 2012 May 30.

Using colorectal trends in the U.S. to identify unmet primary care needs of vulnerable populations

Patricia Y Miranda  1 , Michelle Johnson-Jennings, Wassim Tarraf, Patricia González, William A Vega, Hector M González
Affiliations

Using colorectal trends in the U.S. to identify unmet primary care needs of vulnerable populations

Patricia Y Miranda et al. Prev Med. 2012 Aug.

Abstract

Background: Colorectal cancer screening (CRC) disparities have worsened in recent years.

Objective: To examine progress toward Healthy People 2010 goals for CRC screening among ethnic/racial groups, including disaggregated Latino groups.

Methods: Multivariate logistic regressions examined associations between ethnicity/race and primary outcomes of self-reported guideline-concordant CRC screenings considering time trends for 65,947 respondents of the Medical Expenditure Panel Survey from 2000 to 2007 age 50-years and older from six groups (non-Latino White, non-Latino Black, Puerto Rican, Cuban, Mexican, and Other Latino). We also tested for modification effects by education, income, and health insurance.

Results: Most groups approached Healthy People 2010 CRC screening rate goals, including non-Latino Whites (47%), non-Latino Blacks (42%) and Puerto Ricans (40%), while Mexicans remained disparately lower (28%). Higher education, income and insurance coverage, partially attenuated this lower likelihood, but Mexican rates remained significantly lower than non-Latino Whites for receiving endoscopy in the past 5 years {OR(95% CI)=0.68(0.59-0.77)} and having received any CRC screening {0.70(0.62-0.79)}.

Conclusions: Among ethnic/racial groups examined, only Mexicans met healthcare disparity criteria in CRC screening. Findings suggest that healthcare equity goals can be attained if resources affecting continuity of care or ability to pay for preventive services are available, and targeted populations are adequately identified.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Linear prediction plots for estimated yearly prevalence rates of past year Fecal Occult Blood Test, within past 5 years endoscopy (colonoscopy/sigmoidoscopy), and mixed screening (within past year FOBT or within past 5 years endoscopy) by ethnicity/race groups in the U.S. for respondents ages 50 and over from pooled Medical Expenditure Panel Survey data (2000–2007). (a) Fecal Occult Blood Test (FOBT); (b) Colonoscopy/Sigmoidoscopy; (c) FOBT or Colonoscopy/Sigmoidoscopy
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Key Facts: Race, Ethnicity & Medical Care. The Henry J. Kaiser Family Foundation;
    1. MEPS-HC Response Rates by Panel. Agency for Healthcare Research; Rockville, MD: 2009a.
    1. Status dropout rates of 16- through 24-year-olds, by race/ethnicity: Selected years, 1980–2007. U.S. Department of Education; Washington, DC: 2009b.
    1. National Healthcare Disparities Report, 2010 Detailed Methods: Medical Expenditure Panel Survey (MEPS) Agency for Healthcare Research and Quality; Rockville, MD:
    1. Colorectal Cancer Facts & Figures 2011–2013. American Cancer Society; Atlanta:

MeSH terms

Substances